Individual provider Active NPI

Eva Mirium Goriee, DDS

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1821171638
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017438 Issued in MI
Practice address
44627 Mound Rd
Sterling Heights, MI 48314-1321
Phone
(586) 323-7201
Fax
(586) 731-5317
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901017438 MI Primary

Addresses

Primary practice location

44627 Mound Rd
Sterling Heights, MI 48314-1321

Mailing address

48834 Brittany Parc Dr
Macomb, MI 48044-2121
Phone (586) 949-1526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901017438MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Shapers Dental PC General Practice Current Accepting new patients

Locations

44627 Mound Rd
Sterling Heights, MI 48314
Phone (586) 323-7201

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1821171638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48834 BRITTANY PARC DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442121",
            "telephone_number": "586-949-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44627 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141321",
            "telephone_number": "586-323-7201",
            "fax_number": "586-731-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORIEE",
        "first_name": "EVA",
        "middle_name": "MIRIUM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.